Individual
DR. LATASHA RASHONDA SELIBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303-3098
(864) 560-1558
Mailing address
853 N CHURCH ST, 510, SPARTANBURG, SC 29303-3098
(864) 506-1558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL33979
SC
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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